Spirit Day Registration Form

All fields marked with an asterisk (*) are required.

required text field

Child’s Name*

required text field

Child’s Age*

required text field

Child’s Grade*

required checkbox field

Shirt Size*

Youth S

Youth M

Youth L

Youth XL

Adult XS

required email address field

Parent’s Email Address*

required text field

Parent’s Phone Number*

required text field

Emergency Contact Name*

required text field

Emergency Contact Phone Number*

required textarea field

Child’s Allergies*

required radio button field

Date Your Child Will Attend*

September 20, 2025 (Family Weekend)

required radio button field

By selecting the option below, you are indicating you are aware of the cost associated with the clinic. Payment can be processed using the Pay Now option on the main clinic page.*

I agree

Link (required)